AYUSH – GCP Dr Sathiya Rajeswaran Research Officer SCRI,CCRS,Chennai All roads meet a common goal Roads are different goal is same • ICMR • WHO. ‘Good Clinical Practice Guidelines’ published by AYUSH Ministry for clinical trials of Ayurveda, Siddha & Unani drugs. There are four Research. The department of Ayush has issued good clinical practice (GCP) guidelines for clinical trials in Ayurveda, Siddha and Unani (ASU) medicines.
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EGLN1 involvement in high-altitude adaptation revealed through genetic analysis of extreme constitution types defined in Ayurveda. Click here to sign up. However, blinding guidlines the outcomes to the evaluators can ensure an unbiased comparison. Ramesh Shankar, Mumbai Thursday, April 18, As guidelins we know and acknowledge that a designed trial is biased, we have created a body of work that is scientifically unbiased.
The Case Record Form should be in such a form and format that allows accurate input, presentation, verification, audit and gyidelines of the recorded data. A CRF may be in printed or electronic format.
Although safety and quality assurance should not be compromised, the new guidelines need to be revised in light of the debate on the ethics of randomized clinical trials RCTs recently published in The New England Journal of Medicine.
Researching complementary and alternative treatments – the gatekeepers are not at home. The intention of this page manuscript is to persuade that clinical studies in ASU systems are conducted in agreement with ethical and scientific standards and safety issues and rights of study subjects are protected at all stages of trial conduct.
A lot more people are seeking Ayurveda and TM as a treatment system, as it is clinically practiced. Plethora of opportunities thus lies in front of the stakeholders to embrace the guidelines as a tool for encouraging scientific and reliable clinical research for plausible outcomes.
The GCP is a set of guidelines to the industry which includes the design, conduct, audit, analysis, reporting, termination, and documentation of the clinical studies relating to human subjects. A critical appraisal of studies of Ayurvedic medicines to treat osteoarthritis and rheumatoid arthritis.
Therefore, rather than performing RCTs of Ayurveda treatments, future research efforts should focus on robust documentation and understanding their mechanisms and their importance as an affordable and safe healthcare system.
The label should necessarily contain the following information: It is reasonable to judge the success of Ayurvedic treatments in terms of Ayurvedic endpoints and not be limited to endpoints selected by the western biomedicine approach.
Good Clinical Practice Guidelines for clinical trials of ASU Medicine
Type 1 error minimizes the chances of releasing a bad drug into the market and power maximizes the chance of discovering a good drug. In such cases, double blinding of the physicians and patients to treatment allocation may not be feasible. Leave a Reply Cancel reply Your email address will not be published. Apr 18, 5: Measures to be implemented to ensure the safe handling and storage of theASU Medicine. They are dose dependent and are, therefore, readily reversible on reducing the dose or withdrawing the drug.
The fourth criterion requires a historical control group. The proposed ASU guidelines are expected to generate a body of clinical research based on bioethics, transparency in reporting, and lack of scientific bias. To foster good clinical research, it is greatly desired that the principles driving these guidelines should be ethics, transparency and scientific unbiasedness.
We need better record keeping to track the effectiveness and safety of the treatment regimen supported by a robust pharmacovigilance program. This strong empirical evidence may be considered in Ayurveda’s favor. Miller FG, Joffe S. Generally, in whole system trials, patients are randomly assigned to treatment alternatives, which may include essentials of ahara, vihara, panchakarma, and aushadhias prescribed by Ayurveda.
Good Clinical Practice (GCP) guidelines to provide new direction for ASU trials | JLI Blog
Mature minors and adolescents should personally sign and date separately designed written assent form. The GCP guidelines are likely to assist the researchers and institutions in following a customary way of good clinical practice while carrying out human trials for ISM medicines. This article has guifelines cited by other articles in PMC. Typically, Ayurveda treatments guldelines not need Phase 4 trials. The ancestral and present populations receiving traditional treatments provide better clinical assessment than carefully selected members of some contemporary RCT.
Eur J Clin Invest. Studies in Phase III may also further explore the dose-response relationships relationships among dose, and clinical responseuse of the drug in wider populations guidleines different stages of disease, or the safety and efficacy of the drug in combination with other drug s. The guidelines are significant as although the ASU systems are known for their long history of safe and effective use, yet validation of safety and efficacy using scientific and evidence-based methodologies is needed for the purpose of universal acceptability, gaining confidence of practitioners and satisfaction of end users in the products.
Traditional medicine and genomics. Scientific unbiasedness is different from unbiasedness that is used generally. Therefore, Indian scientists and gukdelines should design GCP guidelines after considering the xyush differences between Ayurveda and Western biomedicine.
They should be followed for carrying out all ASU medicine research in India at all stages of drug development, whether prior or subsequent to product registration in India.
J Ayurveda Integr Med. The case of Ayurveda, however, is different as the treatment regimen is already in use. Ayurveda has long-standing historical evidence of safety and efficacy of treatments judged in terms of its own endpoints.
However, the proposed guidelines seem to have been drawn up guidelinew the basis of Western biomedical approaches, including randomized controlled trials, as necessary evidence. J Ind Acad Clin Med.
Researchers, sponsors and drug manufacturers, therefore, have to be well versed with bcp standard scientific procedures that are required to be followed while conducting clinical trials with ASU interventions to achieve objective and reproducible results. Interestingly, their conditions can be generalized and applied to Ayurveda treatments of chronic diseases.